Angela Renee Urbano, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26021410A Issued in IN

Practice address

905 S College Ave
Rensselaer, IN 47978-3006

Phone

(219) 866-0466

Fax

(219) 866-0456

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Rensselaer, IN
  • NPI 1841217064
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1831743079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S COLLEGE AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783006",
            "telephone_number": "219-866-0466",
            "fax_number": "219-866-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S COLLEGE AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783006",
            "telephone_number": "219-866-0466",
            "fax_number": "219-866-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANO",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Ticen
• Robert Tillema
• Lisa B Tinkel
• Susan K Tolleson, PTA
• Julian Y Ungar-Sargon, M.D., PHD
• Vanessa Heather Vanderhere, PT
• Alejandro A. Vega, M.D.
• Kelsey Wagner
• James G Wakefield III, M.D.
• Wal-Mart Stores East LP

• Pharmacist in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.